Clinical Approach to Chest Pain Flashcards Preview

Pathology > Clinical Approach to Chest Pain > Flashcards

Flashcards in Clinical Approach to Chest Pain Deck (16):
1

What are the 5 "killer" chest pains?

A. Acute Coronary Syndrome (ACS)
B. Pulmonary Embolism
C. Aortic Dissection
D. Tension Pneumothorax
E. Esophageal Rupture

2

What are some common causes of chest pain?

• Angina
• Myocardial infarction
• Aortic valve disease
• Hypertrophic or congestive cardiomyopathy
• Aortic dissection
• Pericarditis
• Mitral valve prolapse

3

What is Levine's sign?

Fist clutched over the chest

4

What qualities of pain usually are NOT cardiac pain?

- Sharp stabbing pain
- Ache

5

What are some radiation points of pain that correlate with myocardial ischemia?

Neck, throat, lower jaw, teeth, upper extremity or shoulder

6

What is a good late marker of cardiac injury?

Troponin

7

What specific syndrome is elevated troponin a marker for?

non-ST elevation ACS

8

What is the BRUCE protocol?

It is the ramping measure used in the exercise stress test

9

Are upsloping ST segments on the EKG considered abnormal?

No

10

What are some non-cardiac causes of chest pain?

– Gastroesophageal reflux
– Diffuse esophageal spasm
– Cholecystitis and cholelithiasis
– Pulmonary hypertension
– Pneumothorax
– Pulmonary embolism
– Anxiety states
– Herpes zoster
– Cervical arthritis
– Chest wall pain and tenderness

11

What are some factors predisposing a person to aortic dissection?

HTN, pregnancy, congenital defects

12

What does the D-dimer test have a high NPV for?

Pulmonary Embolism

13

What are the EKG signs of pericarditis?

ST elevation that is diffuse with PR depression

14

What does ST depression indicate?

Ischemia

15

What are the proximal types of aortic dissection?

Type 1 and 2

16

What is the most common cause of aortic dissection?

Hypertension

Decks in Pathology Class (203):